SciELO - Scientific Electronic Library Online

 
vol.32 issue1Cryptococcal infections in non-HIV infected patients: a new clinical problem in ChilePenicillin Production in Chile between 1944 and 1954 author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Revista chilena de infectología

Print version ISSN 0716-1018

Abstract

FICA, Alberto et al. Atypical mycobacterial infections in five adult patients without evidence of immunosuppression: Making an experience. Rev. chil. infectol. [online]. 2015, vol.32, n.1, pp.80-87. ISSN 0716-1018.  http://dx.doi.org/10.4067/S0716-10182015000200012.

We aim to communicate the experience gathered during the management of infections by atypical mycobacteria in immunocompetent patients in a general practice. Between 2008 and 2013, 5 patients with non-tuberculous mycobacterial infections were identified: 2 with cutaneous involvement and 3 with lung infection. None of them had evidence of immunosuppression. A patient with elbow bursitis by M. chelonae presented with a high mononuclear count in fluid analysis with mycobacterial growth at the fifth day of culture. He evolved satisfactorily with clarithromycin. A case with M. fortuitum skin infection had a delayed initial diagnosis with progression to local draining lymph nodes; the culture when requested was positive after 13 days of incubation. Patients with pulmonary infection presented with prolonged cough and sputum and had in common to be postmenopausal women displaying small nodules and bronchiectases at lung images, a classical pattern. Time elapsed between respiratory sampling and a definitive inform ranged from 40 to 89 days. Non-tuberculous mycobacterial infections in non-immunosuppresed patients can generate diagnostic and therapeutic challenges. Delay in identification contributes to this problem.

Keywords : Atypical mycobacteria; Mycobacterium intracellulare; Mycobacterium kansasii; Mycobacterium chelonae; Mycobacterium fortuitum; lung diseases; bursitis; HIV; tuberculosis; therapeutics; treatment outcome.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License